Values of beta-human chorionic gonadotropin as a risk factor for tubal obstruction after tubal pregnancy

Values of beta-human chorionic gonadotropin as a risk factor for tubal obstruction after tubal pregnancy

Autor Elito, J. Google Scholar
Han, K. K. Google Scholar
Camano, L. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Aim. the hysterosalpingography (HSG) was evaluated after the clinical treatment of tubal pregnancy and the possible risk of tubal obstruction through the following parameters: beta-human chorionic gonadotropin (beta-hCG) levels, size of the adnexal mass, aspects of the image at ultrasound, and color Doppler.Methods. Eighty patients were submitted to HSG after tubal pregnancy treatment from April 1994 to February 2002. Fifty received expectant management and 30 were treated with single-dose methotrexate (MTX) (50 mg/m(2) intramuscularly).Results. the patency of the ipsilateral tube was 84% and 78% after the MTX and expectant treatments, respectively (P > 0.05). After the logistic regression was performed, it was observed that levels of beta-hCG > 5000 mUI/ml were directly related to the tubal obstruction risk, odds ratio = 11.79 (95% CI = 2.27-61.32). Other variables were not directly related to the tubal obstruction risk.Conclusions. in this study, the probability of ipsilateral tubal obstruction depends on the beta-hCG levels. the increase in beta-hCG levels is followed by an enhancement in tubal obstruction risk. Therefore, the beta-hCG may be effective for the prognostic of the reproductive future of these patients.
Palavra-chave chorionic gonadotropic hormone
ectopic pregnancy
expectant management
hysterosalpingography
methotrexate
Idioma Inglês
Data de publicação 2005-09-01
Publicado em Acta Obstetricia Et Gynecologica Scandinavica. Hoboken: Wiley-Blackwell, v. 84, n. 9, p. 864-867, 2005.
ISSN 0001-6349 (Sherpa/Romeo, fator de impacto)
Publicador Wiley-Blackwell
Extensão 864-867
Fonte http://dx.doi.org/10.1111/j.0001-6349.2005.00836.x
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000231152200008
Endereço permanente http://repositorio.unifesp.br/handle/11600/28463

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